Are CBD Gummies Safe For Seniors

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10 Best CBD Gummies for Seniors in 2022 Almost one in five Americans over 50 now use some kind of CBD product. Cannabis specialist Dr. Danial Schecter discusses what older adults need to consider when they start using CBD. Cannabidiol Use in Older Adults ABSTRACT: Cannabidiol (CBD) is a nonpsychoactive component of the Cannabis sativa plant. CBD products, which have become popular in the United States, are

10 Best CBD Gummies for Seniors in 2022

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As people get older, they can start to experience all sorts of health problems. This is why it’s important for seniors to take care of their health as much as possible. CBD gummies are a great way to do this. In this article, we will discuss the 10 best CBD gummies for seniors in 2022. We’ll talk about what makes these gummies so special and why they are perfect for seniors.

10 Best CBD Gummies for Seniors in 2022

CBDfx Original Mixed Berry CBD Gummies 1500mg

CBDmd Tropical Broad Spectrum CBD Gummies

Cornbread Organic Berry CBD Gummies

Charlotte’s CBD Gummies

+Plus CBD Gummies Cherry Mango

Green Gorilla Organic CBD Gorilla Gummies 300mg

Joy Organics Organic CBD Gummies

What are CBD gummies?

CBD gummies are a type of edible that contains the extract of the hemp plant. They come in a variety of flavors, colors, and shapes. CBD gummies contain no THC, which is the psychoactive component of cannabis.

There are a number of reasons why seniors may find CBD gummies helpful. CBD has been shown to help with anxiety, pain relief, and sleep issues. It can also help to protect the brain from age-related damage. CBD is a natural compound and does not have the same risks as prescription medications.

What are the benefits of CBD gummies for seniors?

The potential benefits of CBD gummies for seniors include reducing anxiety, improving sleep, and alleviating pain. CBD gummies are also non-addictive and have no known side effects.

How do CBD Gummies for seniors work?

CBD gummies for seniors work by interacting with the body’s endocannabinoid system. This system is responsible for regulating a number of functions, including sleep, appetite, pain, and inflammation.

The endocannabinoid system is responsible for regulating a number of bodily functions, including sleep, appetite, pain, and inflammation. CBD interacts with the endocannabinoid system by binding to cannabinoid receptors. This helps to regulate the functions that are regulated by the endocannabinoid system.

Should Elderly People Take CBD?

Yes, CBD is generally considered safe for seniors to take. However, it is important to talk to a doctor before starting any new supplement, especially if the senior has other health conditions.

The recommended dosage of CBD for seniors depends on a number of factors, including weight, height, and health condition. Seniors should start with a low dose of CBD and increase gradually as needed.

What kind of CBD gummies are best for pain?

There are a few different types of CBD gummies that can be helpful for pain relief. Full-spectrum CBD gummies contain all of the compounds found in the hemp plant, including THC. Broad-spectrum CBD gummies contain most of the compounds found in the hemp plant but don’t include THC. CBD isolate gummies only contain CBD, and no other hemp compounds.

For seniors who want to avoid THC, broad-spectrum or CBD isolate gummies are the best option. For those who don’t mind taking THC, full-spectrum gummies may be more effective.

What medications can you not take with CBD oil?

CBD can interact with certain medications, so it is important to talk to a doctor before taking CBD oil. Medications that should not be taken with CBD include blood thinners, seizure medications, and antidepressants.

If you are a senior and are thinking about taking CBD oil, be sure to talk to your doctor first. They will be able to advise you on the best dosage and type of CBD oil for your needs.

Do CBD gummies help with sleep?

CBD gummies may help seniors who have trouble sleeping. CBD is known to relax the mind and body, which can help promote a better night’s sleep. If you are considering taking CBD gummies for sleep, start with a low dose and increase as needed.

There are a variety of CBD gummies available on the market, so it is important to do your research before purchasing. Look for gummies that are third-party tested and made from high-quality ingredients.

CBD gummies can be a helpful supplement for seniors who want to improve their sleep, reduce anxiety, and alleviate pain. Talk to a doctor before taking CBD gummies or any other supplement, and start with a low dose to see how your body reacts.

Does CBD help with arthritis?

CBD gummies may help seniors who suffer from arthritis. CBD is known to reduce inflammation and pain, which can be helpful for those with arthritis. If you are considering taking CBD gummies for arthritis, start with a low dose and increase as needed.

How do I choose the best CBD products?

There are many factors to consider when it comes to learning how to choose the best CBD gummies for seniors, here’s the criteria we evaluated before including a brand in this list:

Ingredients

Ingredients are important when it comes to CBD products. Look for gummies that are made with high-quality ingredients and are third-party tested. This will help ensure that the gummies are of a high quality and that they contain the CBD that is stated on the label.

It is also important to look at the ingredients list to see if there are any additives or chemicals that you don’t want to ingest. Avoid gummies that contain artificial flavors, sweeteners, or preservatives.

Extraction Method

When looking for CBD gummies, it is important to consider the extraction method used to produce them. Some extraction methods are better than others, and it is important to choose a product that is made with a high-quality method.

The two main types of extraction methods are CO2 extraction and ethanol extraction. CO2 extraction is considered the best method, as it uses carbon dioxide to extract CBD from the plant. This method is safe and gentle, and it results in a high-quality product.

Ethanol extraction is less expensive than CO2 extraction, but it can be harmful to the environment and may produce lower-quality CBD products. It is important to avoid gummies that are made with ethanol extraction.

Lab Testing

CBD products should always be third-party lab tested. Lab testing ensures that the product contains the CBD that is stated on the label and that it does not contain any harmful chemicals or impurities.

When looking for CBD gummies, make sure to choose a product that has been third-party lab tested by an independent laboratory. This will ensure that the product is of a high quality and that it is safe to consume.

The lab results should be available on the company’s website, and they should also be willing to provide them upon request.

Price

CBD products can range in price, from affordable to expensive. It is important to find a product that is priced fairly and that fits within your budget.

When looking for CBD gummies, consider the price per mg of CBD. This will help you compare products and find one that is fairly priced.

CBD products are not created equal, and it is important to choose a high-quality product from a reputable company. The products on this list are all of a high quality and have been third-party lab tested. They are also fairly priced and fit within a variety of budgets.

What are the best CBD gummies for seniors?

The best CBD gummies for seniors should be third-party lab tested, high quality, and contain no artificial ingredients. They should also be low in sugar and calories.

Here’s more information about the best CBD gummies for seniors in 2022:

1. Penguin CBD Gummies

Image courtesy Penguin CBD

CBD gummy worms are made with only the purest CBD isolate for a tasty treat that’s fun and enjoyable. They’re coated with a sour sugar blend that makes them tangy and sweet, and each container has 30 individual worms, each packing 10 mg of CBD.

CBD gummy worms are a yummy option for anyone seeking a tastier alternative to other CBD products. They’re covered in sweet and sour sugar crystals, making them ideal for those who enjoy Sour Patch Kids or Warheads.

Each container contains 30 gummies, each with a 10mg dose of pure CBD isolate. That makes them a great choice for anyone who wants to start with a smaller dose of CBD.

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2. Everest Full Spectrum Gummies

Image courtesy Everest

Everest Full Spectrum Gummies are a great choice for seniors who want to try CBD but don’t like the taste of other products. They’re also a good choice for seniors who want to start with a smaller dose of CBD.

Each container contains 30 gummies, each with a 20 mg dose of pure CBD isolate. That makes them a great choice for anyone who wants to start with a smaller dose of CBD.

3. Planet Delta Gummies

Image courtesy Planet Delta

Made with the finest quality US-grown natural hemp, Delta 8 THC-infused gummies are vegan, non-GMO, and Delta 8 infused. Each gummy contains 15 to 20mg of Delta 8 THC, and there are 30 gummies in each jar in a variety of flavors.

Delta-8 THC is an organic hemp compound that has been known to help reduce anxiety and stress while promoting relaxation. The chemical structure of Delta-8 THC only differs slightly from delta-9 in the location double bond on the chain of carbon atoms. Although bothDelta 8 and 9 come from the hemp plant, 8 is often said to have milder side effects than its counterpart.

4. CBDfx Original Mixed Berry CBD Gummies 1500mg

Image courtesy CBDfx

If you want to experience the benefits of CBD without any other active ingredients, Original Mixed Berry CBD Gummies are perfect for you! Vegan, berry-flavored gummies contain 25 mg of broad spectrum per gummy and offer a natural, delicious way to enjoy the calming wellness effects of cannabidiol.

CBDfx Original Mixed Berry CBD Gummies are perfect for seniors who want to experience the benefits of CBD without any other active ingredients. Each gummy contains 25 mg of broad spectrum CBD, and there are 60 gummies in each bottle.

5. CBDmd Tropical Broad Spectrum CBD Gummies

Image courtesy CBDmd

Say goodbye to estimating your dosage or accidentally taking too much CBD! cbdMD’s gummies are delicious and a great way to get your daily dose of CBD. With a mouth-watering blend of fruit flavors, it’s easy and fun to take these edibles. Each gummy is precisely measured so you always know how much you’re getting, meaning no more guessing for an accurate experience every time.

Now you can have your CBD tincture or cream and eat it too with a delicious snack designed for daily support. Perfect for an afternoon treat, pre-workout energy boost, or after dinner wind down, CBD gummies are one of the most popular and versatile CBD edibles available!

6. Cornbread Organic Berry CBD Gummies

Image courtesy Cornbread

These CBD gummies include up to 2 mg of THC per serving and are full spectrum. They also don’t contain any high-fructose corn syrup, gelatin, or artificial colors–just the highest quality vegan CBD gummies.

Cornbread CBD Gummies are a good choice for seniors who want to try CBD but don’t like the taste of other products. They’re also a good choice for seniors who want to start with a smaller dose of CBD. Each gummy contains 20 mg of CBD, and there are 30 gummies in each bottle.

7. Charlotte’s CBD Gummies

Image courtesy Charlotte’s Web

These CBD-infused gummies are the perfect way to get your daily dose of CBD. Each gummy contains 25mg of broad spectrum CBD, and there are 60 gummies in each bottle.

Charlotte’s CBD Gummies are a good choice for seniors who want to try CBD but don’t like the taste of other products. They’re also a good choice for seniors who want to start with a smaller dose of CBD. Each gummy contains 25mg of broad spectrum CBD, and there are 60 gummies in each bottle.

8. +Plus CBD Gummies Cherry Mango

Image courtesy +Plus CBD

These CBD gummies are not only the most delicious gummies ever created, but they’re also delightful, invigorating bursts of fruit flavor.

What makes CBD-infused gummies exceptional is that they’re made with only genuine agricultural hemp grown using natural soil, water, and sunshine. True hemp, like cannabis sativa, has a long list of advantages for health. It’s jam-packed with the fatty acids that our own brains and bodies use to produce endocannabinoids, making it an excellent option for those who want to supplement their diet with CBD.

9. Green Gorilla Organic CBD Gorilla Gummies 300mg

Image courtesy Green Gorilla

CBD supplements are a delicious way to support your everyday recovery, mood, and overall wellness! Our Certified Organic CBD gummies are perfect for taking every day.

CBD gummies are vegan and contain no THC. Every batch is third-party tested by an ISO-certified laboratory to ensure its quality. Each gummy contains 10 mg of CBD and the highest natural ingredients available.

10. Joy Organics Organic CBD Gummies

Image courtesy Joy Organics

Joy Organics CBD Gummies are a good choice for seniors who want to try CBD but don’t like the taste of other products. They’re also a good choice for seniors who want to start with a smaller dose of CBD. Each gummy contains 20mg of broad spectrum CBD, and there are 30 gummies in each bottle.

These CBD gummies are a great way to get your daily dose of CBD. Each gummy contains 20mg of broad spectrum CBD, and there are 30 gummies in each bottle. Joy Organics CBD Gummies are GMO-free, gluten-free, vegan, and kosher. They’re also third-party lab tested for purity and potency.

CBD Safety For Seniors

Almost one in five Americans over 50 now uses some kind of CBD product, according to a recent Gallup poll. And they are doing so undeterred by the total lack of FDA oversight or guidelines. But to what extent is CBD use a public health concern for seniors? And what do older adults need to consider when they start using CBD?

Fake product alert

Hemp-derived CBD oil is now poised to overtake olive oil in the category of most counterfeited plant extract on the planet, making authenticity a prime concern for older consumers. Random samplings of CBD products consistently detect misrepresentation between their labels and their contents. In some cases, the nominal cannabinoid is entirely absent, in others, more nefarious substances have been found.

One of the many organic, third-party lab-tested CBD products on the market.

Hence, until the FDA gets its regulatory house in order, responsibility for finding a safe product lies with the consumer. According to the Brightfield Group, seniors tend to prefer ingesting CBD in oils, vape cartridges and edibles, which entails a lot of label-reading for seniors. When evaluating a CBD product, make sure it uses CBD from organic hemp, preferably grown in the United States, and that it is third-party lab tested to verify the CBD content and rule out the presence of contaminants.

Once you get it, how do you use it?

While CBD products have never been easier to access in the US, actually getting the desired results from them can be more complicated.

I spoke with Dr. Danial Schecter, an Ontario-based family physician who is the co-founder of a network of cannabis-based medicine clinics that have served over 60,000 patients in Canada, and who recently became Director of Global Medical Services at Canopy Growth Corporate, about the guidance he suggests for seniors interested in using CBD.

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Danial Schecter (DS) I’ll start with a few basics: CBD is a molecule derived from the cannabis plant. It is what we call non-euphoric-inducing, in that it doesn’t cause you to feel high, but it is still what we call psychoactive, meaning that it has an effect on the neurotransmitters and the chemistry of your brain, just like an antidepressant or a sleep aid would have.

Abbie Rosner (AR): How do you approach CBD dosage for seniors?

DS: When we’re talking about CBD, in terms of dosing it in particular, we know that doses of CBD are very safe, that there has been no documented overdose of CBD, that it does not cause euphoria and that it is safe to be used in quite high quantities. We have studies where it’s been used in as low as 5-10 mgs per day, and studies that are using it in as high as 1500 mgs a day.

The supposed effects of CBD are that it has anti-inflammatory, antidepressant and anxiolytic (anti-anxiety) properties – but we still don’t really know exactly how it works. Yet there have been studies done in humans, for example, where subjects were given 600 mg of CBD in a single dose or a placebo, and then had them do a simulated public speaking exercise. And those who had the CBD had a significantly easier time, with less anxiety.

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But, in clinical practice, we never give doses like that. It’s just not affordable. What I see in my clinical practice is that the majority of people will respond to somewhere between 40 and 100 mgs of CBD/day.

AR: If a 70 year old woman came into your clinic, would you recommend that she take 40 mg of CBD?

DS: No. What I would say is, we don’t know what your dose is going to be. Everyone’s endocannabinoid tone is different, their metabolism is different, you’re on a certain number of medications that will potentially affect the metabolism of CBD and the only way to know if it is going to work and what the dosage is, is by taking a standardized approach, starting low and going slow.

AR: And what would the starting dose be?

DS: In a healthy adults a starting dose would usually be 5 mg of CBD, but in people who are elderly, who are potentially on a number of medications, and who are very sensitive to side-effects of medications, we like to cut that dose in half, and start at 2.5 mgs of CBD. The 40-100 mgs a day of CBD a day that I mentioned previously, that’s usually for people who are using it for pain or for anxiety and wellbeing.

AR: Pain and anxiety are two of the main issues that older adults are facing – so the picture that I’m getting is that, if an older adult comes in and says, I have pain and I’d like to start with CBD – you’d start low but you might theoretically get up to 40-100 mgs of CBD to actually address the effects.

DS: Exactly – so what we usually do is, we encourage people to start at a very low dose – 2.5 mgs – and then increase in 2.5 mg increments – depending on how aggressive they want to be – over anywhere between 2 days and one week. And then wait to see if they feel any kind of response.

Usually, the psychological symptoms will take longer to actually improve or respond to CBD than the physical symptoms. So we would often recommend a slower titration for anxiety or depression, and for the physical symptoms that have a quicker response, we could recommend a quicker titration.

AR: What do you recommend for seniors who want to supplement or replace their medications with CBD?

DS: Whenever we want to start a new medication, one of the very basic principles is that we should really not be playing around with another medication. So you only want to introduce or remove one medication at a time.

If you’ve been on a sleep aid for many years, and you want to stop taking it and use CBD, I would not recommend that you all of a sudden stop taking the sleep aid and start taking CBD, because your insomnia will get worse. Under the guidance of your physician, you would want to taper in the CBD until you reach a stable dose.

AR: Is CBD alone a potent medication?

DS: It can be. But it’s probable that the best benefits – at least what I see in clinical practice – is when we can use a combination of both THC and CBD.

There is idea that exists that THC is bad and CBD is good, when in actuality, both of these molecules have a very important place in clinical practice. And while THC has received a bad rap, because it is associated with getting high, in actuality, it has more immediate benefits than CBD. With THC there’s a huge misconception that people just use it to get high. But in doses that do not cause you to get high, it can be very beneficial for things such as sleep, pain, nausea, appetite stimulation and muscle spasms.

AR: That’s all fine and well in Canada. But in most of the United States, older adults need to get a medical marijuana card to access those products –with all the bureaucracy that entails. And now they can access CBD in almost any drugstore – and that’s what they’re doing!

DS: For someone who wants to access CBD on the open market, that’s absolutely fine – but ideally, they would be doing so under the supervision of their main treating physician.

AR: In your practice, are you seeing older adults who are asking for CBD products?

DS: That’s actually what we’re seeing the most of these days. In Canada, where cannabis has been legalized for recreational use, the greatest increase in our patient population at the clinics are the Baby Boomers and the parents of Baby Boomers who are coming in all the time asking to try that CBD oil.

But the other thing is that, even when they want CBD, once we start examining them, getting their history and understanding what it is they are looking for, we find that very often they would benefit from a low dose of THC in addition to CBD. Here in Canada, you can very easily say, I know you’ve heard about CBD, but you could benefit even more from something with a little THC.

AR: And there’s the beauty of full legalization – that you don’t have to jump through so many hoops to get a little THC in your medicine.

Cannabidiol Use in Older Adults

ABSTRACT: Cannabidiol (CBD) is a nonpsychoactive component of the Cannabis sativa plant. CBD products, which have become popular in the United States, are frequently used to treat pain, anxiety, and sleep disorders—conditions that affect older adults. Evidence is insufficient to recommend the use of CBD for these disease states. OTC CBD products are widely available, and there are significant concerns regarding their safety, including mislabeling, standardization issues, and drug interactions. The informed pharmacist will be a valuable resource for discussing the use and safety of CBD with older adults.

Cannabidiol (CBD) and delta-9-tetrahydrocannabinol (THC) are among the many cannabinoids, or components, of the Cannabis sativa plant. CBD is nonpsychoactive, whereas THC has psychoactive properties such as euphoria and psychosis. Two common strains of Cannabis sativa are marijuana and hemp. 1 CBD may be derived from either marijuana (which often contains more than 15% THC) or hemp (having a THC concentration of no more than 0.3%). 2 In addition, CBD may be extracted from Cannabis indica and hybrid plants, which may have higher concentrations of CBD than THC. A recent survey revealed that one in seven Americans uses CBD products, with the most common reasons for its use being pain, anxiety, poor sleep, and arthritis. 3

Endogenous cannabinoids and phytocannabinoids such as CBD and THC modulate the endocannabinoid system (ECS). THC is a partial agonist on the cannabinoid (CB) 1 receptor that results in central nervous system (CNS) effects, such as the “high” associated with marijuana; it also has limited CB2 agonist activity in the immune system. CBD has minimal activity on CB receptors, but it affects the ECS and the non-ECS. 4 Some of the proposed mechanisms of CBD include agonist activity at serotonin 1A, transient receptor potential vanilloid 1, G protein–coupled receptor 55, and adenosine A2A receptors, which may explain some of the possible analgesic, anti-inflammatory, anxiolytic, and antiepileptic effects of CBD. 1,5

In the United States, about two-thirds of states have legislation approving cannabis for recreational use (11 states) and/or medicinal purposes (21 additional states). Seven states mandate pharmacist involvement, such as dispensing activities or consulting to dispensaries. 6 The only FDA-approved (in 2018) CBD product is Epidiolex, which is indicated for treatment of seizures associated with Lennox-Gastaut syndrome or Dravet syndrome. 7 The law prohibits the sale of foods or dietary supplements to which CBD has been added; however, a wide variety of products containing CBD are available at retail stores. 8

Formulations

CBD formulations used in clinical trials include oral capsules, sublingual spray, oil-based solution, and topical gel. OTC CBD products are available in numerous other formulations, including topical balms and creams, e-liquid for inhalation, and infused foods and drinks. 1,9 Given the many formulations and manufacturers, nearly all CBD products lack standardization. The exception is Epidiolex, which is available as an oil-based oral solution formulated with sesame oil and standardized to contain 100 mg/mL of pure CBD extract. 7

CBD levels in commercially available products vary widely. The FDA has issued warning letters every year since 2015 to companies marketing unapproved new drugs that allegedly contain CBD. 8,10-13 As part of these warnings, the FDA tests the chemical content of CBD compounds, and it has found that many products do not contain the claimed level of CBD. Commercially available products have been assessed in laboratories, whose findings support the FDA’s concerns about product inconsistency and mislabeling. A laboratory assessment of OTC CBD products sold in the U.S. demonstrated that only 26 of 84 (31%) products tested were accurately labeled. 14 Not only was the amount of CBD in products overlabeled or underlabeled, but 21% of products contained THC even though it was not listed in the product information. In addition, the FDA has cited concerns regarding reports of contaminants such as pesticides and heavy metals. 8

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The mislabeling of CBD products results in dosing uncertainty in the use of any commercially available OTC product. This is an important caveat in the extrapolation of dosages used in clinical research. In such research, a range of dosages have been used for different indications and routes of administration. For example, Epidiolex oral solution is approved for weight-based dosing from 5 mg/kg/day to a maximum of 20 mg/kg/day. 7 CBD has been given orally at dosages of 100 mg to 800 mg. 15,16 CBD topical gel has been used for fragile X syndrome at a dosage of 50 mg to 250 mg daily. 17 For smoking cessation, a CBD metered-dose inhaler has been administered at a dosage of 400 mcg as needed. 18

Administration and Absorption

CBD absorption depends on the product formulation. In animal and human studies, CBD administered orally has been shown to be poorly absorbed, with bioavailability of 13% to 19%. 19,20 CBD’s bioavailability is believed to be reduced by first-pass metabolism. Poor bioavailability can be avoided with the use of alternative formulations. There is an emerging market for novel delivery methods to increase CBD’s oral bioavailability. 21

Absorption of CBD may also be altered by food intake. In clinical trials, coadministration of Epidiolex with a high-fat, high-calorie meal increased plasma levels of CBD fourfold to fivefold compared with administration on an empty stomach. 7 In one study using a purified (99%) CBD capsule, coadministration with food resulted in a maximum concentration and AUC of 14-fold and fourfold higher, respectively, compared with administration on an empty stomach. 22 CBD inhalation in humans has an average bioavailability of approximately 31%, with the use of one type of metered-dose inhaler demonstrating bioavailability of more than 65%. 18,23 Transdermal absorption of CBD is variable in animal studies and has yet to be fully elucidated in humans. 4

CBD Uses

CBD is FDA-approved for certain types of seizure disorders; for more information, see the manufacturer’s website for Epidiolex (www.epidiolex.com). The following section will focus on the common reasons for off-label CBD use, including pain, sleep disorders, and anxiety, all of which affect older adults.

Pain: An estimated 50 million American adults (20.4%) experience chronic pain, with persons aged 65 years and older constituting 61.2% of those affected. 24 Much of the data on chronic pain (e.g., neuropathic pain, cancer pain, diabetic peripheral neuropathy, fibromyalgia, HIV-associated sensory neuropathy, spasticity associated with multiple sclerosis [MS], and rheumatoid arthritis) involve the use of marijuana and cannabinoids (often THC, combination THC-CBD, or nabiximols [a specific mixture of THC, CBD, other minor cannabinoids, flavonoids, and terpenes]). Formulations used in pain studies range from smoked, oral, or oromucosal spray of THC; synthetic cannabis (nabilone); synthetic THC (dronabinol); and vaporized cannabis, with results suggesting modest reductions in pain and spasticity. 25

Sativex (nabiximols), an oromucosal THC-CBD spray, is approved in several European countries for treating symptoms of moderate-to-severe spasticity associated with MS, and a phase II/III clinical trial is currently under way in the U.S. to evaluate nabiximols for advanced cancer pain with inadequate analgesia from chronic opioids. 26 There is a paucity of data on CBD used for pain; most studies are in preclinical stages. 5,25,27

Sleep Disorders: Sleep disorders are disproportionately more prevalent in older adults. 28 Patients have commonly reported that cannabis is helpful for sleep. 29 CBD is used for alleviation of insomnia, but little is known about its effectiveness. One study that compared CBD with placebo for insomnia in 15 patients suggested that 160 mg of CBD may improve sleep duration without next-day sedation. 30 Somnolence was reported in nearly one-third of patients taking Epidiolex in clinical trials, which provides additional support for CBD’s benefits for sleep in some patients. 7 However, more research is needed to determine whether CBD is useful for individual components of insomnia, such as sleep latency, wakefulness after sleep onset, sleep duration, and overall sleep quality.

Anxiety: Evidence is not strong for the use of CBD for anxiety disorders. CBD has demonstrated some benefit for social anxiety disorder and social phobia when patients undergo a simulated public-speaking test. 31,32 However, these trials had small sample sizes and study biases. It is theorized that CBD could be beneficial for anxiety based on its mechanism of action at the serotonin receptor. 31

Other Disease States: Data on the use of CBD for various other conditions are mixed, and evidence is insufficient to recommend this practice. The efficacy of CBD has been studied in bipolar disorder, Crohn’s disease, diabetes, dystonia, fragile X syndrome, graft-versus-host disease, Huntington’s disease, opioid withdrawal, Parkinson’s disease, schizophrenia, and smoking cessation. 33 In addition, CBD has been reported to be useful for addiction, possibly by modulating dopamine and serotonin. 1

Adverse Effects and Safety

The use of CBD is considered “possibly safe” when used appropriately, based on some clinical evidence. 33 However, insufficient high-quality data exist to recommend CBD for most older adults. The most common adverse effects associated with CBD, reported in clinical trials of Epidiolex, are somnolence (~32%), decreased appetite (16%-22%), diarrhea (9%-20%), and increased liver-function tests (13%). 7 Other side effects are orthostatic hypotension, lightheadedness, and dry mouth. Adverse effects appear to be dose-related. The safety of CBD in the geriatric population has not been fully clarified, and Epidiolex clinical trials did not include patients older than 55 years. 7

There are practical concerns regarding CBD use in older adults. The geriatric population may be more susceptible to adverse effects of CBD commonly seen in younger adults, including sedation. CBD is hepatically metabolized, predominantly via CYP2C19 and CYP3A4. 4 Older adults with reduced hepatic function may be more susceptible to adverse effects of CBD.

Commercially available CBD products may not contain the CBD concentrations claimed on the label, and the FDA warns consumers to be aware of this inconsistency when using such products. 13 Of particular concern is the THC component in mislabeled CBD products. Older adults may be predisposed to adverse effects caused by the psychoactive properties of THC. The use of marijuana in older adults has been associated with increased risk of injury and adverse events. 34

Drug-Drug Interactions

CBD has been shown to inhibit hepatic enzymes. 4 In human studies, coadministration of CBD with antiepileptic drugs resulted in increased concentrations of drugs that are substrates of CYP2C9, CYP2C19, and CYP3A4. 35 Given CBD’s known sedative effect, there is also a theoretical concern for additive hypnotic reactions in combination with CNS depressants. TABLE 1 lists potential interactions with CBD.

The Pharmacist’s Role

A recent survey by the Arthritis Foundation revealed significant use of and interest in CBD for arthritis. The Foundation acknowledges the possible efficacy of CBD for treating pain, insomnia, and anxiety while also recognizing the lack of rigorous clinical studies. 36 Despite a scarcity of evidence for CBD use in the geriatric population, education on known and potential benefits and risks is vital to a patient’s decision-making process. The pervasive direct-to-consumer advertising and ubiquity of CBD products may foster misinformation or misinterpretation of actual evidence. The pharmacist should be prepared to give an unbiased assessment of CBD, including concerns about product mislabeling, underlabeling and overlabeling of CBD, and lack of THC labeling in a product containing it.

The pharmacist should consider patient-specific factors when discussing CBD use. A review of potential drug-drug interactions is warranted prior to using CBD. Counseling on pharmacokinetic variables, such as oral administration with or without food, may be relevant. Comorbidities may also be pertinent to the discussion, and safety concerns should be reinforced. For example, a patient with preexisting respiratory disease should avoid inhalation as the route of CBD administration. An honest and impartial discussion will facilitate a stronger patient–healthcare provider relationship.

If a patient has decided to use CBD, the pharmacist can direct the patient toward a top-quality CBD product. TABLE 2 provides questions to consider when recommending a CBD product. Given the increasing number of states and U.S. territories legalizing marijuana for medicinal or recreational use, the informed pharmacist will be a valuable resource for discussing the use and safety of CBD with older adults. 6

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